# JERSEY FOOT AND ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982993119
- **Authorized official:** HENRIETTA I OBIDIGBO DPM (OWNER)
- **Authorized official phone:** (973) 216-9071

## Contact information

- **Practice address:** 152 MARKET ST, SUITE 314, PATERSON, NJ 07505-1724
- **Practice address phone:** (973) 278-4200
- **Mailing address:** 152 MARKET ST, SUITE 314, PATERSON, NJ 07505-1724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00296100 | NJ | Yes |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 01/19/2012